Mary Churchman, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT92237 Issued in TX

Practice address

1400 Preston Rd Ste 400
Plano, TX 75093-5189

Phone

(502) 600-0004

NPI assigned

Jun 16, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1987

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mary Churchman, LLC

  • Registered Dietitian
  • Plano, TX
  • NPI 1205722907

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1457247751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251754",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750251517",
            "telephone_number": "972-275-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PRESTON RD STE 400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935189",
            "telephone_number": "502-600-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCHMAN",
        "first_name": "MARY",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT92237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Chung, RDA
• Hayoon Chung
• Ki Ki Chung, PHD, LPC, LMHC, RPT
• Monica Sueae Chung, M.D.
• Jia Ying Chuong, OD
• Rashmi Chute, PT
• Carl E. Ciborowski, M.D.
• Kelly Cicerello, PT
• Greg Cigainero, PHARMD, BCPS
• Cindy C. Hartley, MD, PA

• Registered Dietitian in Plano, TX
• Providers in Plano, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.